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优化质量保证以提高遗传性癌症检测的临床效用和成本效益。

Optimization of quality assurance to increase clinical utility and cost effectiveness of hereditary cancer testing.

作者信息

Smith Serenedy, Marino Ingrid, Schaller Jeanie, Arnell Christopher, Moyes Kelsey, Manley Susan

机构信息

Myriad Genetic Laboratories, Inc., Salt Lake City, UT, USA.

出版信息

Per Med. 2017 May;14(3):213-220. doi: 10.2217/pme-2016-0091. Epub 2017 Mar 29.

DOI:10.2217/pme-2016-0091
PMID:29767585
Abstract

AIM

To evaluate one laboratory's hereditary cancer testing clinical quality assurance (QA) process to minimize test-ordering errors.

METHODS

The proportion of tests canceled/revised due to pre-analytic QA processes or provider consultation prior to test ordering were determined and the resulting health cost savings were estimated.

RESULTS

Over 2000 genetic test orders were canceled/revised over a 1-year period due to the laboratory QA process, saving US$5,801,832 in healthcare costs. Consultation with healthcare providers prior to submitting genetic test requests resulted in 37 canceled/revised test orders in a 2-week period, which extrapolates to a savings of US$3,049,098 over 1 year.

CONCLUSION

QA processes can contribute to the curtailment of healthcare costs through canceling or revising test orders.

摘要

目的

评估某实验室的遗传性癌症检测临床质量保证(QA)流程,以尽量减少检测订单错误。

方法

确定因分析前QA流程或检测订单下达前与医疗服务提供者协商而取消/修订的检测比例,并估算由此产生的医疗成本节省情况。

结果

在1年时间里,由于实验室QA流程,超过2000份基因检测订单被取消/修订,节省医疗成本5,801,832美元。在提交基因检测申请前与医疗服务提供者进行协商,在2周内导致37份检测订单被取消/修订,按此推算,1年可节省3,049,098美元。

结论

QA流程可通过取消或修订检测订单来减少医疗成本。

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